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CQ Health Beat: ‘Doc Fix’ Bill Addresses Hospital-Auditor Dispute By Freezing Rule

  Legislation passed by Congress this week suspends Medicare oversight by Recovery Audit Contractors (RACs) for 18 months, at a loss of billions to the Medicare Trust Fund. The legislation also sets a precedent of suspending Medicare auditing in order to get buy-in on policy changes from special interest groups. Subscribers to CQ Health Beat […]

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Health Data Management: Groups Have Swift, Sharp Reactions to Senate Approval of ICD-10 Delay

  On March 31, 2014, the Senate passed the Protecting Access to Medicare Act of 2014 (H.R. 4302), which extends the current delay of Medicare auditing of inpatient hospitals – which account for 91% of Medicare over-billings – until March 2015. The passage of the bill will yield a multi-billion loss to the Medicare Trust […]

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Congress Sanctions Loss of Billions to Waste, Fraud and Abuse

  FOR IMMEDIATE RELEASE March 31, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Congress Sanctions Loss of Billions to Waste, Fraud and Abuse     ‘Doc Fix’ legislation absolves inpatient hospitals of Medicare oversight for 18 months, Sets precedent of using RAC program as ‘bargaining chip’ for special interest groups Washington, D.C. – The American Coalition for […]

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Coalition Urges Senate to Amend ‘Doc Fix’ Bill, Remove Anti-Oversight Provision

  The American Coalition for Healthcare Claims Integrity today sent the following letter to the U.S. Senate, urging lawmakers to amend the ‘doc fix’ bill, scheduled for a vote this afternoon. If passed in its current form, the legislation would absolve inpatient hospitals – which account for 91% over-billings to Medicare – from auditing by the Recovery […]

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Bloomberg: CMS Says RACs Recovered $2.3 Billion In Overpayments in Fiscal Year 2012

  According to a report released by the Centers for Medicare and Medicaid Services (CMS) this week, the Recovery Audit Contractor (RAC) program saved taxpayers $2.3 billion in FY2012 through Medicare oversight, and made significant progress toward eliminating Medicare waste. Subscribers to Bloomberg can read the full article here.  

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Inside Health Policy: RACs Returned Almost $2 Billion To Medicare In Fiscal 2012

  On Tuesday March 25, the Centers for Medicare and Medicaid Services (CMS) released its annual Recovery Audit Contractor (RAC) Program report to Congress, noting the program’s significant progress toward eliminating waste, fraud and abuse in Medicare.   Subscribers to Inside Health Policy can access the full story here.

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Health Data Management: House ‘Doc-Fix’ Bill Would Extend Two-Midnight Enforcement

  Lawmakers are set to vote today on a bill that would extend the current suspension of Medicare oversight by an additional six months. Given the extent of waste, fraud and abuse in Medicare, the provision will hasten the insolvency of the Medicare Trust Fund and force taxpayers and seniors to shoulder the burden of […]

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Coalition: In Doc Fix Deal, Congress ‘Absolves’ Hospitals of Billions in Medicare Waste

  FOR IMMEDIATE RELEASE March 27, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Coalition: In Doc Fix Deal, Congress ‘Absolves’ Hospitals of Billions in Medicare Waste   SGR patch would halt majority of Medicare auditing through March 2015, ensure loss of billions to waste, fraud and abuse Washington, D.C. – The American Coalition for Healthcare Claims Integrity (ACHCI) today […]

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Citizens Against Government Waste: CMS Gives Recovery Auditing Program High Marks, Saves Medicare Billions

  Taxpayer watchdog groups are urging lawmakers to remove language from a new bill that would suspend Medicare oversight through March 2015, by barring Recovery Audit Contractors (RACs) from auditing inpatient hospital claims. According to a report released this week, inpatient hospitals accounted for 91% of over-billings to Medicare, further highlighting the misguidance behind this […]

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McKnight’s: RACs recovered $8,000 from skilled nursing facilities, $2.3 billion overall in 2012, report shows

  The Centers for Medicare and Medicaid Services (CMS) has released a report showing the results of the Recovery Audit Contractor (RAC) program in fiscal year 2012. Overall, the RAC program saved taxpayers $2.3 billion in FY2012, nearly triple the savings from the prior year. Read more from McKnight’s Long-Term Care News here.

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